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HomeMy WebLinkAbout02-07-2018 Mental Health Minutes MEETING MINUTES MENTAL HEALTH SUBCOMMITTEE OF THE COMMUNITY JUSTICE COLLABORATING COUNCIL February 7, 2018 8:30 AM SCCSC Room 172 St. Croix County Services Center - 1752 Doreset Lane, New Richmond, Wisconsin CALL TO ORDER This meeting of the Community Justice Collaborating Council (CJCC) Mental Health (MH) Subcommittee was called to order at 8:35 AM by Chair Fred Johnson. ROLL CALL Attendee Name Organization Title Status Arrived Fred Johnson St. Croix Chair Present County Liesl Nelson St. Croix Supervisor Absent County Scott L. Cox St. Croix Corporation Counsel Absent County Mike O'Keefe St. Croix CJCC Coordinator Present County Alison Page St. Croix Medical Community Absent County Representative Dan St. Croix Captain Absent VanSomeren County Mark Richert St. Croix Police Chief Present County Steve Kirt St. Croix Behavioral Health Administrator Present County Peter St. Croix Hudson Hospitals Present VanDusartz County Gordon Young St. Croix Police Chief Present County Others in Attendance: Donovon Schumacher, State of Wisconsin Dept. of Health Services, Lieutenant Brent Standaert for Dan VanSomeren APPROVAL OF MINUTES 1. Mental Health Subcommittee of the Community Justice Collaborating Council Regular Meeting June 15, 2017 8:00 AM Chair Johnson asked if after the review of the June 15, 2017 minutes if any editing needed to be done. With nothing noted Chair Johnson accepted the minutes as submitted. RESULT: ACCEPTED PUBLIC COMMENT Chair Johnson opened the meeting to Public Comment. No Public Comment. BUSINESS ITEMS 1. Wisconsin Department of Health Services Emergency Detention Bed Need Study Chair Johnson reviewed background information from the October 2017 meeting with Pat Cork and the bed need study. The report on this bed study is not complete yet and is only in draft form. The study is focused on State Mental Health Institutes only at this point, nothing regarding the regional bed need. The State's next steps will be pulling together the counties that are using these institutes regularly for their input, and lastly they will continue to work on determining the regional needs. Donovon Schumacher informed the group that he has reviewed the draft of this study and shared that there are bullet points included to address the increase in emergency detentions to State Mental Health Institutes due to lack of local beds, local hospital closures, and more individuals with acute needs. Also mentioned in the report are initiatives to address the capacity needs, which is proposed legislation for Department of Health Services (DHS) to help develop regionalized crisis stabilization centers. State reporting system on emergency detentions is not standardized. A regional workgroup is expected to address uniformity in reporting between counties to get best data. RESULT: DISCUSSED 2. Proposed Legislation 2017 Senate Bill 681 and Assembly Bill 815-Related to Allowed Detention Facilities for Emergency Detention and Involuntary Commitment The Community Justice Collaborating Council (CJCC) Mental Health (MH) subcommittee reviewed the legislation included in the packet. These Bills are still in committee and not to the floor yet. Discussion had on an overview of the bills. If these pass it would open some beds in regional crisis center hospitals, using grant money to fund. Chief Richert reported that law enforcement staff saw interest in this when meeting with legislative staff. Pete Vandusartz informed the subcommittee that Health Partners has opened an IRTS - Intensive Residential Treatment Service center in Maplewood, MN. This 16 bed facility will be available to move people out of hospitals more quickly, which will help open up these hospital beds for crisis needs. Steve Kirt shared that Crisis Centers are being looked at and discussed by the Valley Coop as well, in the hope that more creative ideas on how to fund and make these Crisis Centers sustainable could be looked at. Discussion had on law enforcement's view on the need for a non secure facility. Safety and medication seem to be key components on how this will be accomplished. Donovon spoke to Brad Munger regarding Chapter 34- and billing issues, Mr. Munger is willing to be part of the conversation in this region and would participate in a meeting with this subcommittee. Chief Young shared that River Falls Allina hospital now has secured transports for voluntary admissions to private hospitals, available for the next year, via funds from a hospital donation board. Young also shared that conversations are being started with Winnebago regarding the tests emergency departments are being asked to run for medical clearance that don't seem necessary. Also looking into if this is something EMS staff could assist with. Winnebago, and other hospitals, continue to change their expectation and standards on medical release making it difficult for law enforcement. Donovon will explore the medical clearance issues and if there could be a more consistent expectation for clearance set. RESULT: DISCUSSED 3. Western/Northern Wisconsin Regional Behavioral Health Emergency Detention Bed Space Workgroup A regional meeting was held recently and a workgroup has been formed to talk about regional needs for emergency detention beds. There is a meeting this Friday which Fred Johnson, Chief Richert, Chief Young, and Pete VanDusartz are planning to attend and will report back. RESULT: DISCUSSED 4. Community Justice Collaborating Council Mental Health Subcommittee Work Plan Development on Area Bed Need for Emergency Detentions Discussion had on next steps for this group to address area bed need. Discussed cost to implement something such as a crisis center. Also discussed the need for evidence that a crisis center is sustainable and has a funding source. Discussed low Medicaid reimbursement. The data analyst hired by St. Croix County is beginning work on collecting data in determining the costs incurred by county law enforcement while providing Emergency Detention transports. Chair Johnson shared that Representative Zimmerman would like to be part of a detailed conversation around area bed need, so maybe working with legislatures to educate and inform them of our needs would be part of next steps as well. Chair Johnson will reach out to Rep. Zimmerman and possibly Senator Schachtner to plan for participation in our next meeting. RESULT: DISCUSSED 5. Community Justice Collaborating Council Mental Health Subcommittee Work Plan Development on Hospital Emergency Department Tele-Health Pete VanDusartz informed the subcommittee that work on the tele-health project is moving forward and interviews for the first position are tomorrow. Also on Friday, a meeting is scheduled with emergency room doctors in the area to get input and next will meet with law enforcement. Agreements with all involved are being drafted and certification for tele- health for all 3 hospitals is being worked through. Tele Health will happen under each of the 3 counties,( Polk, Pierce and St. Croix) emergency services certifications and will be a public/private collaboration. VanDusartz also shared that Amery hospital has been down on census and has been open to taking some emergency detentions. They are a geriatric psychiatric hospital but have loosened up their criteria based on their bed availability and fit within the facility. RESULT: DISCUSSED 6. Community Justice Collaborating Council Mental Health Subcommittee Work Plan Development on Law Enforcement Crisis Intervention Training Crisis Intervention Training held a class about 2-3 weeks ago with approximately 90 people now trained. Lieutenant Standaert will discuss details and plans for moving forward with these training's with Gary Simacek and bring details back to the group at the next meeting. RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS Ask that Brad Munger from the State participate in our next meeting, as well as possibly other legislators such as Representative Zimmerman, to discuss crisis center and area bed needs. Review Crime Data Analyst, Kevin Hamlin's reports on costs of law enforcement transports for emergency detentions. ANNOUNCEMENTS & CORRESPONDENCE No announcements. ADJOURN This February 7, 2018 meeting of the CJCC-MH Subcommittee was adjourned at approximately 9:55 AM by Chair Fred Johnson. DATE OF NEXT MEETING Currently planned for April 12, 2018 @ 8:30 AM in New Richmond at the St. Croix County Services Center.